Feldmeyer J J
FMH en neurologie, Delémont.
Rev Med Suisse Romande. 2000 Sep;120(9):685-95.
Non traumatic cervical myelopathy is a common disease. Spondylosis with or without discopathy is a major cause aside meningioma or myelitis. Most cases can get some benefit from neurosurgery. But in current practice the diagnosis encounters difficulties because of insidious course and non specific initial symptoms, so that we can think the disease remains a long time unknown. The review of 18 patients allows me to recall the criteria of diagnosis and to confirm the importance of neurological examination: thanks to it we can better focus on complementary exams (MRI, lumbar puncture, electrophysiology) and if necessary go round behind a deceptive radiologic "evidence".
非创伤性颈髓病是一种常见疾病。伴有或不伴有椎间盘病变的脊柱退变是除脑膜瘤或脊髓炎之外的主要病因。大多数病例可从神经外科手术中获益。但在当前临床实践中，由于病程隐匿且初始症状不具特异性，诊断存在困难，以至于我们可以认为这种疾病在很长一段时间内未被认识。对18例患者的回顾使我能够回顾诊断标准并确认神经学检查的重要性：借助神经学检查，我们能够更好地聚焦于辅助检查（磁共振成像、腰椎穿刺、电生理学检查），并在必要时绕过具有误导性的放射学“证据”。
